Provider Demographics
NPI:1578642831
Name:PEARSON, MARCELLA RAE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:MARCELLA
Middle Name:RAE
Last Name:PEARSON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7975 ALLISON WAY STE 100
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-4413
Mailing Address - Country:US
Mailing Address - Phone:303-422-7677
Mailing Address - Fax:303-422-6029
Practice Address - Street 1:7975 ALLISON WAY STE 100
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-4413
Practice Address - Country:US
Practice Address - Phone:303-422-7677
Practice Address - Fax:303-422-6029
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2282363A00000X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant